Fleming County KyArchives Photo Document.....Henderson, Gertie
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Transcribed For the Archives May 29, 2008 by Alice Warner from image 
Image submitted to Archives in 2004 by Darrell Warner.

1. Place of Death: Frankfort, Franklin County
2. Usual residence: Rural Flemingsburg, Fleming County
3. Full Name: Samuel M. Perkins
4. Sex: M
5. Color: W
6. Marital Status: Widower
7. Birth Date: June 19, 1874
8. Age: 73
9. Birthplace: Fleming County
10. Usual Occupation
11. Industry
12. Father's Name: William Perkins
13. Birthplace: 
14: Mother's Name: Susan Harmon
15: Birthplace:
16: Informant: Ruth Green, Frankfort, Ky.
17: Burial: Flemming County, Mar 4, 1948
18: Funeral Director: Burdin-Sullivan, Frankfort Ky.
19: Filed: 3/4/48  Agnes B. Campbell
20. Date of Death: Mar 2 1948
21. Attended from Feby 8 1948 to Mch 2 1948. Death at 7:30pm
Cause of Death: Artero Sclerosis
22: Death to External Causes:
23: Signature: Joseph Barr, Frankfort KY, Mar 4, 48.